HomeMy WebLinkAbout1964-5-18 - 135 Diane Drive - Septic ApplicationTOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. r" 0
TO THE BUILDING DEPARTMENT: Date _ 19�
A permit is requested for repair or construction of an individual sewage dispo al system concerning which the
following information is submitted: r+� 40 6j�mmer.
1. Owner of Property 7 Address of Owner i _ITty-Ak"Aaruri
! Q
2. Location of Proper y�) �I d - P I - e Lot. No. /
3. Type of Structure _ D-W�_ No. of Bedrooms -3
4. Number of Families or Pewano-to- Occupy Premises 0-111- F /r
5. Plumbing Fixtures: Water Closets ? Urinals Lavatories Bathtubs
Showers Kitchen Sinks I Laundry Tubs Garbage Grinder Other T
6. Liquid Capacity of Septic Tank CI&O q0, Material of Septic Tank 2r—Y . C 1CV, _
7. Soil Conditions: Type of So' 'r iV-e Maximum ground water tabled l
(Sand, Gravel, Clay, etc.)
8. If not served by public water supply: Distance from Owner's well from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment,
10. Percolation Tests: Time for 1" drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length Width To!ai _
Other
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By,
Installation Completed, Inspected and Approved 19 By
PURPOSES My
1 y --1 A
PROPERTY OF
NO. DIANE DRIVE SOUTH WINDSOR, CONN.
peing Lot No. 59 on map entitlbd "Map of HIGH FARMS Kelly Road
South Windsor, Conn. Property of Edward, Joseph & William Kelly
Subdividers Robert Stone & Jack Goldberg Scale 1" - 50' April 6,
1959 Hayden L. Griswold C.E. Sheet 2 of 2 Rev. Jan. 8, 1963 to
show change of building lines"
Scale I" a 50'
HAYDEN L. GRISWOLD C.E.